In Canadian health care, hospital funding is front-loaded and each patient chips away at the pile. Many have suggested a model whereby hospitals are paid per patient “served.” This way, each patient becomes a source of revenue as opposed to a drain on resources. Makes sense? Well this idea has been met with much weeping and gnashing of teeth. Too complicated they say. Well, apparently it works for the education system. Can you imagine local hospitals engaging in PR battles over patients? Could we send a couple of education bureaucrats to hospitals please?
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Ummm.. Hospitals like CHEO do “shadow billing”.. so the number of patients they see helps them get more money the next yr.. more patients=more $$
If competition is good between school boards (and they get between 10-14K/student – wide variance!!!!), then more competition would be better!! Bring in charter schools like Alberta and vouchers (eg. 5-6K) for people who want other alternatives!!